Department of Psychiatry (KJM, DCS), University of Connecticut Health Center, Farmington, CT.
Department of Psychiatry (FMG), Weill Cornell Medical College, White Plains, NY.
Am J Geriatr Psychiatry. 2019 Jul;27(7):720-727. doi: 10.1016/j.jagp.2019.03.006. Epub 2019 Mar 13.
It remains challenging to integrate clinical neuroscience into clinical practice. Hindrances at the training level (e.g., lack of qualified faculty and curriculum) contribute to this impasse. To help address this, we present a model of training in clinical neuroscience. We expand on a growing literature on incorporating neuroscience into psychiatry training by emphasizing two points. That is, 1) we propose a training model designed for the geriatric-minded clinician; and 2) that extends across several phases of education and career development. Considering the relevance of dementia to our population of interest, and the potential impact expertise in clinical neuroscience can have in elders with cognitive impairment, we provide relevant curriculum examples at various training stages. Clinical research, both as a practitioner and consumer, figures prominently into our training model. We discuss two mentoring programs, T32 fellowships and Research Career Institute in the Mental Health of Aging, as ways to engage geriatric psychiatrists early in their training and transition them successfully to post-residency clinical investigator positions. Although there is increasing opportunity for geriatric psychiatrists and other clinicians to become leaders in the field of neuroscience, this remains a work in progress; ours and others' training programs continue to evolve based on input from trainers and trainees alike, as well as from the increasing literature on this important topic.
将临床神经科学整合到临床实践中仍然具有挑战性。培训层面的障碍（例如，缺乏合格的教师和课程）导致了这种僵局。为了帮助解决这个问题，我们提出了临床神经科学培训模型。我们通过强调两点来扩展关于将神经科学纳入精神病学培训的不断增长的文献。也就是说，1）我们提出了一个专为有老年思维的临床医生设计的培训模型；2）该模型贯穿教育和职业发展的多个阶段。考虑到痴呆症与我们感兴趣的人群的相关性，以及临床神经科学专业知识对认知障碍老年人的潜在影响，我们在各个培训阶段提供了相关的课程示例。临床研究，无论是作为从业者还是消费者，在我们的培训模型中都占有重要地位。我们讨论了两个指导计划，T32 研究员和心理健康老龄化研究职业学院，作为让老年精神病学家在早期培训中参与并成功过渡到住院后临床研究员职位的途径。尽管老年精神病学家和其他临床医生在神经科学领域成为领导者的机会越来越多，但这仍然是一个正在进行的工作；我们和其他机构的培训计划继续根据培训师和学员的反馈以及关于这个重要主题的不断增加的文献进行演变。
